{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:39:29Z","timestamp":1786117169891,"version":"build-2736575974"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Aortic dissection can present with a wide variety of symptoms depending on the transient arterial occlusion during propagation of the dissection. Neurological manifestation, including hemiplegia, paralysis, paraplegia, and monoplegia, have been reported previously. However, crossed neuropathy has never been found. In this case report, we present the case of a 14-year-old girl who presented with right upper limb numbness and weakness together with persistent left lower extremity weakness, which mimicked peripheral polyneuropathy. The patient was finally diagnosed with arterial dissection but unfortunately died. Aortic dissection can be easily misdiagnosed as Guillain\u2013Barr\u00e9 syndrome (GBS); this case emphasizes the importance of identifying atypical neurological manifestations of aortic dissection. Early identification and timely treatment are crucial for improving survival rates and prognosis.<\/jats:p>","DOI":"10.3389\/fmed.2026.1882843","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T13:27:23Z","timestamp":1786022843000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute aortic dissection presenting as crossed neurological symptoms: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Shuai","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Neurological Functional Examination, Affiliated Hospital of Hebei University","place":["Baoding, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Affiliated Hospital of Hebei University","place":["Baoding, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinbei","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, Henan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.amjcard.2024.03.001","article-title":"Nature of neurological complications and outcome after surgery for type a aortic dissection","volume":"219","author":"Biancari","year":"2024","journal-title":"Am J Cardiol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1214","DOI":"10.1016\/S0140-6736(21)00517-1","article-title":"Guillain\u2013Barr\u00e9 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